Cardiac Disorders NCLEX Questions

Extract:

Question 1 of 5

Which client would most likely be misdiagnosed for having a myocardial infarction?

Correct Answer: C

Rationale: A 40-year-old Hispanic female with normal ECG (
C) is most likely to be misdiagnosed, as women often present atypically and normal ECGs can occur in MI. Typical symptoms (
A), elevated troponin (
B), and normal CK-MB at 12 hours (
D) are less likely to be missed.

Question 2 of 5

The health-care provider has ordered an angiotensin-converting enzyme (ACE) inhibitor for the client diagnosed with congestive heart failure. Which discharge instructions should the nurse include?

A. Instruct the client to take a cough suppressant if a cough develops. B. Teach the client how to prevent orthostatic hypotension. C. Encourage the client to eat bananas to increase potassium level. D. Explain the importance of taking the medication with food.

Correct Answer: B

Rationale: ACE inhibitors cause hypotension, so teaching prevention of orthostatic hypotension (
B) is critical. Cough suppressants (
A) are inappropriate for ACE inhibitor cough, bananas (
C) are unnecessary unless hypokalemia exists, and food (
D) is not required.

Question 3 of 5

Which assessment finding would support the possibility of right-sided heart failure?

A. Jugular vein distention B. Bradycardia C. Dry, hacking cough D. Flushed, red face

Correct Answer: A

Rationale: Jugular vein distention indicates increased venous pressure, typical of right-sided heart failure.

Question 4 of 5

The nurse has received shift report. Which client should the nurse assess first?

A. The client diagnosed with coronary artery disease complaining of severe indigestion. B. The client diagnosed with congestive heart failure who has 3+ pitting edema. C. The client diagnosed with atrial fibrillation whose apical rate is 110 and irregular. D. The client diagnosed with sinus bradycardia who is complaining of being constipated.

Correct Answer: A

Rationale: Severe indigestion in CAD (
A) may indicate angina or MI, requiring immediate assessment. Edema (
B), tachycardia (
C), and constipation (
D) are less urgent.

Question 5 of 5

The nurse is teaching a class on valve replacements. Which statement identifies a disadvantage of having a biological tissue valve replacement?

A. The client must take lifetime anticoagulant therapy. B. The client’s infections are easier to treat. C. There is a low incidence of thromboembolism. D. The valve has to be replaced frequently.

Correct Answer: D

Rationale: Biological valves (
D) have limited durability, often requiring replacement. Anticoagulation (
A) is for mechanical valves, infections (
B) are not easier, and thromboembolism (
C) is lower but not a disadvantage.

Cardiac Disorders NCLEX Questions | Nurselytic

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